Stodolna-Tukendorf Joanna, Stodolny Jerzy, Marczyński Wojciech
Ośrodek Leczniczo-Rehabilitacyjny "Natura", Busko-Zdrój.
Chir Narzadow Ruchu Ortop Pol. 2011 May-Jun;76(3):138-44.
The most common cause of spinal pain syndromes (SPS) is overload of the spine. It damages the function of the spine and the morphology of the spine's tissues. The literature suggests that a generalized insufficiency of connective tissue, which manifests itself as a hypermobility of joints (JHM), might be one of the causes of overload. The authors decided to evaluate, whether a frequency of the prevalence of JHM is greater within the population of patients treated because of spinal pain syndromes, and whether JHM might be a pathogenetical factor in sps.
The material consisted of 8014 case records of patients treated in Rehabilitation Clinic because of dysfunctions and diseases of locomotoric system during 7 years. 7061 of those patients were treated for sps. The control group consisted of 953 patients without SPS, treated because of other reasons. All patients underwent an examination to screen for hypermobility. Four simple maneuvers of the peripheral joints and joints of the spine were performed. If hypermobility of joints was detected during testing, the patient underwent a complete examination of 13 tests using the Sasche criteria modified by Kapandij and was interviewed to screen for accompanying symptoms of hypermobility.
Hypermobility syndrome is recognized much more often in patients with spinal pain syndromes, than in patients treated because of other diseases (7.9% i 0.7%) and twice more often in females than in males (69.7% i 30.3%). Among young people, under 30 years of age hypermobility occurs in 55% of population with SPS. In the youngest patients HMS may be the cause of overload spinal pain syndromes, and a predisposition factor towards spinal pain syndromes in older patients.
脊柱疼痛综合征（SPS）最常见的病因是脊柱负荷过重。这会损害脊柱的功能以及脊柱组织的形态。文献表明，表现为关节活动过度（JHM）的结缔组织普遍不足可能是负荷过重的原因之一。作者决定评估，在因脊柱疼痛综合征接受治疗的患者群体中，JHM的患病率是否更高，以及JHM是否可能是SPS的致病因素。
材料包括7年间在康复诊所因运动系统功能障碍和疾病接受治疗的8014例患者的病例记录。其中7061例患者因SPS接受治疗。对照组由953例因其他原因接受治疗的无SPS患者组成。所有患者均接受了关节活动过度筛查检查。对周围关节和脊柱关节进行了四项简单操作。如果在测试中检测到关节活动过度，患者需按照由卡潘迪修改的萨斯切标准进行13项测试的全面检查，并接受访谈以筛查关节活动过度的伴随症状。
与因其他疾病接受治疗的患者相比，脊柱疼痛综合征患者中关节活动过度综合征的诊断更为常见（分别为7.9%和0.7%），女性的诊断率是男性的两倍（分别为69.7%和30.3%）。在30岁以下的年轻人中，55%的SPS患者存在关节活动过度。在最年轻的患者中，HMS可能是脊柱疼痛综合征负荷过重的原因，而在老年患者中是脊柱疼痛综合征的易感因素。
